10.7.1 Provision of mattresses or beds through RAP

The RAP Schedule and RAP National Guidelines specify what mattresses and beds can be provided under RAP and guidance about the criteria that must be met for these items to be provided through RAP. Beds and mattresses provided under the Rehabilitation Appliances Program (RAP) are sourced from DVA contracted mobility and functional support suppliers. Where there is evidence a clinical need exists for a bed and/or mattress as a medical aid, due to a person’s accepted condition/s the request must be considered through RAP.

What mattresses and beds are available through RAP?

RAP normally only supply mattresses designed to reduce problems resulting from external pressure, friction or shear. An assessment by an appropriately qualified health professional, identified against the relevant item on the RAP Schedule, is required to determine the client’s clinical needs.

What mattresses and beds are not available through RAP?

At present RAP does not consider the supply of mattresses for back pain, chronic musculoskeletal pain, or mental health conditions except in exceptional circumstances.

Adjustable beds

Adjustable beds are listed on the RAP Schedule. The RAP National Guidelines apply to these items. The additional criteria that must be met are outlined below:

• other assistive devices to improve bed mobility have been demonstrably ineffective;
• the entitled person requires assistance with bed mobility and transfers;
• the provision of an adjustable bed will allow the entitled person to be cared for in their home; and
• the entitled person requires a high level of nursing care within their home.

The provision of a companion bed may also be considered, depending on the individual circumstances of the entitled person. The provision of a companion bed requires prior approval from DVA.